- CVS Health (Fresno, CA)
- …provider relations; customer service or audit experience Preferred Qualifications -Some Medicare and/or Medicaid knowledge - Experience in reading or ... regulators. Understand and adapt to departmental process and policies. Medicare knowledge is a plus. Fast Turn Around of...for all products and services. Required Qualifications At least 2 + years in one of the following areas: claim… more
- Rush University Medical Center (Chicago, IL)
- …1** **Work Schedule:** 4 Hr (8:00:00 AM - 4:30:00 PM) **Summary:** The Transplant Coordinator RN 2 is responsible for coordination of the evaluation and ... Organ Sharing (UNOS)/Organ Procurement and Transplantation Network (OPTN), the Centers for Medicare and Medicaid Services (CMS) Condition of Participation (CoP)… more
- Spokane County (Spokane, WA)
- …System for Award Management (SAM) excluded provider, in any capacity for the Medicare , Medicaid , and all Federal healthcare programs. + Must successfully pass ... needed to maintain credentials. Behavioral Health Administrative Services Organization Integrated Care Coordinator : + Two ( 2 ) years of direct behavioral health… more
- Humana (Indianapolis, IN)
- …and help us put health first** Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2 ) who assesses and evaluates member's ... Committed? If so, apply today! **Position Responsibilities:** The Care Coordinator 2 employs a variety of strategies,...long-term care case management experience + Prior experience with Medicare & Medicaid recipients + Experience working… more
- Elderwood (Wheatfield, NY)
- …for each individual assessment. + Acts as support/liaison to the business office coordinator and/or designee in determining eligibility for Medicare and tracking ... / per year Overview Sign on bonus for MDS Coordinator $10,000 for full-time (paid over 12 months) What...Case Mix Index (CMI) preferred + Experience with state Medicaid program, Medicare /PPS program, Managed Care programs,… more
- Fresenius Medical Center (Dallas, NC)
- …insurance options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid , Medicare Supplement, State Renal programs and ... + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: +… more
- Robert Half Office Team (Milwaukee, WI)
- …Excel, Benefit Functions, Billing Functions, Claim Administration, Customer Service, Documentation, Medicaid , Health Care Audits - Medicare - Medicaid ... 2 years of experience in an Insurance Authorization Coordinator role or similar position * Proficiency in using...* Experience with Health Care Audits, specifically related to Medicare and Medicaid * Familiarity with … more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Grants Accounting - Coordinator 2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4412968) Grants Accounting - Coordinator 2 ... + Description + Benefits Minimum Qualifications Please clickHERE (https://ulsuno.wd1.myworkdayjobs.com/en-US/UniversityOfNewOrleans/job/Baton-Rouge-La/Grants-Accounting Coordinator - 2 -1\_R-000865?q=r-000865) to apply. * Provide primary accounting… more
- University of Rochester (Rochester, NY)
- …in the system. + Examples of reports: + 2 nd insurance level report + Medicare and Medicaid credit balance report + Over $10,000 report + Claim Edits 10% ... at RTP are required. Remote location must be within 2 hours of RTP and within New York State....trends that requirement management intervention; assist management team with Medicare and Medicaid credit balance audits, and… more
- State of Minnesota (St. Paul, MN)
- …Title: Interagency Coordinator ** **Job Class: Human Services Program Representative 2 ** **Agency: Human Services Department** + **Job ID** : 77055 + **Location** ... and administrative operations; related state programs/supports and federal programs (eg, Medicare , Medicaid , Social Security) + Knowledge of or experience… more
- Fresenius Medical Center (Cleveland, OH)
- …insurance options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid , Medicare Supplement, State Renal programs, and ... + Discusses insurance options when insurance contracts are terminated. + Responsibilities involving Medicare and Medicaid include but are not limited to: +… more
- University of Colorado (Aurora, CO)
- …and reports to professional, State and Federal requirements; including but not limited to Medicaid , Medicare , case logs, and drug logs as required. + Follow up ... Prior Authorization and Payer Reimbursement Coordinator - 33254 University Staff **Description** **University of...State and Federal requirements; including but not limited to Medicaid , Medicare , case logs, and drug logs… more
- Humana (Indianapolis, IN)
- …funding sources to meet their needs. + Assisting members in maintaining Medicaid eligibility + Collaborate with Medical Director/Geriatrician/Care Coordinator as ... and help us put health first** The Field Service Coordinator (Care Coach 1) assesses and evaluates member's needs...or long-term care case management experience + Experience with Medicare & Medicaid recipients + Experience with… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …exit interviews of care providers; + May supervise and participate in hospital Medicare and Medicaid reimbursement programs including preparation of appeals on ... Utilization Review Nurse Coordinator (40 Hour) Office/On-Site Recruitment # 240516-5613FP-001 Location...Joint Commission on Accreditation of Healthcare Organizations (JCAH) and/or Medicare and Medicaid standards and regulations at… more
- The New Jewish Home (Mamaroneck, NY)
- …MDS. + Demonstrates understanding of MDS requirements related to various payers including Medicare , Managed Care, Commercial Plans and Medicaid . + Ensures that ... Westchester is currently seeking a Full Time RAUM MDS Coordinator to join their team! This position has an...the following: o Full Time on site o Hybrid 2 days remote / 3 days on site o… more
- Humana (Columbus, OH)
- …apprentice) + Minimum of 2 years Outpatient medical coding experience + Medicare and/or Medicaid experience + Prior healthcare experience + Microsoft Office ... an organization focused on continuously improving consumer experiences. **Preferred Qualifications** + Medicare and Medicaid policy manuals and fee schedules +… more
- Fallon Health (Worcester, MA)
- …live in our service area, and who have MassHealth Standard, and may have Medicare . It combines MassHealth ( Medicaid ) and Medicare benefits, including ... we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid , and PACE- in the region. **Learn more at… more
- Beth Israel Lahey Health (Burlington, MA)
- …and if necessary, try to improve coverage. The Transplant Financial Coordinator serves as part of the multidisciplinary transplant team providing longitudinal ... coverage and provide information on financial matters related to transplantation. 2 . Researches and verifies insurance for hospital, professional and pharmacy… more
- PruittHealth (Dillon, SC)
- …as necessary and as directed by supervisor. * Must have knowledge of Medicare and Medicaid programs and requirements. Computer literacy is necessary. **Investing ... **$5,000 SIGN ON BONUS** **RN MDS COORDINATOR ** **JOB PURPOSE:** RN Register Nurse Responsible for coordinating assessments for each resident including Resident… more
- Guthrie (Binghamton, NY)
- …procedure codes. + Experience in a healthcare environment required with knowledge of Medicare , Medicaid , and third party payers, rules and regulations. + ... Summary The Payor Audits and Appeals Coordinator will be responsible for monitoring timely and...+ Regulatory Agencies and Recovery Agencies ( ie CMS, Medicaid ) + Coordinate all activities associated with third party… more
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